Important!
The following screen is your legal commitment (enrollment) into the Alpha Program and is not for general enquiries. Submitting the following questionnaire signifies that you fully agree to the terms and conditions of the Alpha Program.

Important: If you have activities in any of the following countries:
Crimea (Annexed region of Ukraine), ﻿Cuba, Iran, North Korea, Sudan (North), Syria.
Please note that due to US sanctions Aetna may not be able to cover you fully in these countries. Please contact us with details of your activities in these countries prior to enrollment so that we can determine how and if we can cover you.